Individual
JESSICA ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC/AC
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(602) 402-7742
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R244108
MD
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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